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STATE ID NUMBER 00000009407001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATIO 'NDZVIOU84 OR PUBLIC AGENCY PUBLIC AGENCY ONLY <br /> H K*_MoTOn (-" ( ) 01 FED ( ) 02 STATE ( 103 LOCAL <br /> STREET ADDRESS CITY <br /> STATE ZIP <br /> 3755 NEST LANE STOCKTON CA 95204 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SURERVxSOR <br /> HOLT MOTORS T �7 <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3755 WEST LANE ALPINE <br /> CITY COUNTY <br /> ZIP <br /> STOCKTON SAN JOAQUIN 95204 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 8790 STOCKTON CA 95208 <br /> PHONE W/AREA CODE TYPEOF BUSINESS <br /> 209-944-5511 ( ) 01 GASOLINE STATION (X) 02 OTHER AUTO DEALERSHIP <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAM.E(LAST NAME FIRST) AND PHONE W/AREA C OE IGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> 209-944-6944 209 <br /> 1l <br /> COMPLETE THE FOLLOWING ON A SEPARATE OR FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: GALLONS (X) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( 1 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL (X) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE f 1 INCHES f 1 CM (Xl UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( l 03 LINED <br /> 0. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL f 103 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE f ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 f10/18/85) PAGE I <br />